膜性肾病患者血清磷脂酶A2受体抗体与临床病理特征的关系

Qipeng Huang, Gaosi Xu, Fang Wang, Fang Zeng, Weidong Fang
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摘要

目的:探讨膜性肾病患者血清磷脂酶A2受体抗体水平与临床病理特征的相关性。方法:本研究选择2016年1月至2018年1月住院肾活检患者。随机选取正常对照;将所有患者分为特发性膜性肾病组和非特发性膜性肾病组;将特发性膜性肾病患者分为I期、II期和III期三组;使用软件进行统计分析。结果:共纳入357例患者,其中特发性膜性肾病155例,非特发性膜性肾病183例,正常对照19例。特发性膜性肾病(IMN)组的平均年龄高于膜性肾病组(P = 0.01)。特发性膜性肾病不同病理分期的一般临床特征分析结果显示,III期膜性肾病组年龄、cys c、血清肌酐(Scr)高于I期、II期膜性肾病组(P值分别为0.003、0.000、0.000);II期、III期膜性肾病组血清磷脂酶A2受体抗体滴度高于I期膜性肾病组(P = 0.006);血清白蛋白(Alb)水平与血清抗PLA2R抗体滴度呈负相关(rs = -0.234, P = 0.003),特发性膜性肾病患者血清抗磷脂酶A2受体(PLA2R)抗体滴度水平显著高于非膜性肾病患者(P < 0.001)。结论:IMN患者血清抗pla2r抗体基线滴度与Alb呈负相关,且I期IMN患者血清抗pla2r抗体水平显著低于II期和III期IMN患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The correlation between Serum phospholipase A2 receptor antibody and clinicopathological features in patients with membranous nephropathy
Objective: To assess the correlation between Serum phospholipase A2 receptor antibody and clinicopathological features in patients with membranous nephropathy. Method: The patients being hospitalized for renal biopsy were selected in this study from January 2016 to January 2018. And normal controls were randomly selected; all the patients were divided into idiopathic membranous nephropathy and non-idiopathic membranous nephropathy groups; patients with idiopathic membranous nephropathy were divided into three groups, namely stage I, stage II and stage III; using software for statistical analysis. Results: A total of 357 patients were enrolled, including 155 patients with idiopathic membranous nephropathy, 183 patients with non-idiopathic membranous nephropathy, and 19 cases for normal controls. The average age of the idiopathic membranous nephropathy (IMN) group is higher than that of the membranous nephropathy group (P = 0.01). Different pathological stages of idiopathic membranous nephropathy general clinical characteristics analysis results showed that the age, cys c, serum creatinine (Scr) in stage III membranous nephropathy group were higher than those of the stage I and II membranous nephropathy (P values were 0.003, 0.000 and 0.000 respectively); titers of serum phospholipase A2 receptors antibody with stage II and III membranous nephropathy higher than the stage I membranous nephropathy group (P = 0.006); serum albumin (Alb) levels correlated inversely with serum anti-PLA2R antibody titers (rs = –0.234, P = 0.003), serum antiphospholipase A2 receptor (PLA2R) antibody titer level in patients with idiopathic membranous nephropathy was significantly higher than that in patients with non-membranous nephropathy (P < 0.001). Conclusion: Baseline titer of serum anti-PLA2R antibody is negatively correlated with Alb in the IMN patients,and serum anti-PLA2R antibody level in patients with stage I IMN was significantly lower than stage II and III IMN patients.
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